Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 419-423.
호산구 위염으로 의심되었던 Borrmann 제4형 위암
최현호ㆍ백창렬ㆍ장우임ㆍ정성훈ㆍ이정록ㆍ정우철ㆍ이강문ㆍ양진모
가톨릭대학교 의과대학 내과학교실
A Case of Borrmann Typer 4 Cancer that was Suspected to be Eosinophiic Gastritis
Hyun Ho Choi, M.D., Chang Nyol Paik, M.D., U-Im Chang, M.D., Sung Hoon Jung, M.D., Jeong Rok Lee, M.D., Woo Chul Chung, M.D., Kang-Moon Lee, M.D. and Jin-Mo Yang, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Borrmann type 4 gastric is a malignant disease that shows enlarged gastric folds, and this is easily mistaken as a mucosal flare or as inflammation because a third of these patients show normal mucosa without mucosal defects and the lesion diffusively infiltrates into the submucosal area. Endoscopic ultrasonography is an effective tool for making the differential diagnosis of gastric subepithelial lesion and hypertrophic gastric fold when endoscopy is not suitable to use. Eosinophilic gastritis is a benign lesion with enlarged gastric folds and it shows pathologic eosinophil infiltration in the walls of the stomach. We report here on a case that was suspected to be Borrmann type 4 advanced gastric cancer according to the endoscopic ultrasonography and this was confirmed by abdominal operation. Otherwise, this condition would have been mistaken for eosinophilic gastritis. (Korean J Gastrointest Endosc 2008;37:419-423)
Key Words: Eosinophilic gastritis, Borrmann type 4 gastric cancer, Large gastric fold
주요어: 호산구 위염, Borrmann 제4형 위암, 거대 위 주름
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